Equisul-SDT® (sulfadiazine/trimethoprim) for Horses
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Equisul-SDT® for Horses: Effective Equine Treatment

Did you hear that of horses treated with Equisul-SDT® were cured of infections1? The infections came from Streptococcus equi subsp. zooepidemicus. This oral antibiotic is FDA-approved. It’s a big win for horse health, fighting off bacterial diseases safely and effectively.

Key Takeaways

  • Equisul-SDT® is an FDA-approved oral antibiotic for the treatment of equine respiratory tract infections.
  • It is a broad-spectrum antimicrobial from the potentiated sulfonamide class, combining the active ingredients sulfadiazine and trimethoprim.
  • Equisul-SDT® has demonstrated a 20% increase in bioavailability compared to an existing paste product.
  • Safety was shown in horses at 1X, 3X, and 5X the recommended dose for 30 days with a low incidence of side effects1.
  • Equisul-SDT® is the only oral liquid antibiotic FDA-approved for horses with proven effectiveness and safety against lower respiratory tract infections2.

What is Equisul-SDT® (sulfadiazine/trimethoprim) for Horses?

Equisul-SDT® is made to be used for horses3. It is in liquid form, meant to be taken by mouth. Each milliliter (mL) has 333 mg of sulfadiazine and 67 mg of trimethoprim3. These two drugs work well together against many types of bacteria that can make horses sick.

Understanding Equisul-SDT®

Equisul-SDT® is a very special mix of sulfadiazine and trimethoprim2. They block different parts of how bacteria multiply. This makes them a powerful team that can kill harmful bacteria in horses.

Chemical Structure and Mode of Action

Sulfadiazine stops bacteria from making a key nutrient they need2. Trimethoprim then prevents this nutrient from being converted into a form the bacteria can use. Together, they weaken the bacteria’s ability to grow. This effect is much stronger than if each drug was used alone2.

Because of how sulfadiazine and trimethoprim work together, Equisul-SDT® is great at fighting off bacterial infections in horses2.

Indications for Equisul-SDT® in Horses

Equisul-SDT® is for horses with lower respiratory infections. These are caused by certain Streptococcus equi subsp. zooepidemicus strains4. It’s the sole liquid antibiotic approved by the FDA for horses to use by mouth4.

It fights infections with two powerful antibiotics. Sulfadiazine and trimethoprim work well against Streptococcus equi subsp. zooepidemicus4. Vets usually suggest giving this medicine to horses two times daily4.

This medicine is safe for common use in most horses. Yet, studies haven’t checked its safety for breeding, pregnant, or very young horses. Always talk to a vet before using it on these animals4.

Equine Respiratory Infections and Bacterial Pathogens

Many bacteria can cause respiratory issues in horses. Streptococcus equi subsp. zooepidemicus is a main culprit5. These infections can seriously harm a horse’s health and how well they perform. So, having great medicines like Equisul-SDT® is key for vets.

The WHO has marked these antibiotics as Highly Important for people. The OIE sees them as crucial for animal health6. It shows why careful use of these drugs is vital for stopping antibiotic resistance6.

Equisul-SDT® is a helpful option for handling respiratory infections in horses4. Its FDA backing and special ingredients make it a trusted choice. Both vets and their animal patients can rely on it465.

Benefits of Equisul-SDT® for Equine Treatment

Equisul-SDT® has many benefits for treating horses. It is made with advanced drug technology from Aurora Pharmaceutical. This technology has shown a 20% better effect than similar products in a study7. Its liquid form is easy to use, making sure horses get their right dose.

Increased Bioavailability

Equisul-SDT® is better absorbed by the horse’s body, making it more effective. More of the medicine is available for the horse to use. This advantage over paste forms ensures the medicine works as best as it can7.

Proven Efficacy in Clinical Trials

Equisul-SDT® was proven effective in a study on respiratory infections. 59% of the infected horses got better, with their symptoms gone in seven days. In comparison, only 15% of those not treated with Equisul-SDT® improved. This shows how well it works against these infections7.

Equisul-SDT® Efficacy

“Equisul-SDT® has become the gold standard in care for many equine pathogens, surpassing the use of SMZ tablets due to ease of administration and accurate dosing.”7

For endometritis treatment, Equisul-SDT® is very effective and affordable. It shows high levels in the body, fighting the bacteria that cause endometritis. Studies show it absorbs better and is more effective than other medicines7.

Equisul-SDT® BenefitsDetails
Increased Bioavailability20% higher bioavailability compared to existing paste products
Improved ComplianceEasy-to-use liquid formulation ensures full dose administration
Proven Efficacy59% successful treatment of respiratory infections in clinical trials
Cost-Effective TreatmentConcentrations above MIC for common equine pathogens

7

Dosage and Administration of Equisul-SDT®

Equisul-SDT® combines sulfadiazine and trimethoprim for treating horses. It is given by mouth. Use 24 mg of the mix for each kilogram of the horse’s weight, twice daily over 10 days. Or, you can measure 2.7 mL of the mix for every 45.4 kg of the horse’s weight89.

Dosage Chart and Frequency

To get the right dose, know your horse’s weight first. Give Equisul-SDT® by mouth two times a day for 10 days, making sure there’s 12 hours between doses.

Directions for Use

  1. Shake the Equisul-SDT® bottle well before use to ensure a uniform suspension.
  2. Remove the cap and peel off the white foil-backed bottle seal.
  3. Replace the cap and then peel off the outer cap seal to expose the opening.
  4. Insert an oral dosing syringe into the cap opening, invert the bottle, and draw out the appropriate volume of the solution.
  5. Do not remove the syringe while the bottle is inverted to avoid potential spillage.
  6. Administer the measured dose directly into the horse’s mouth.

These steps ensure you’re giving Equisul-SDT® correctly. This is vital for your horse’s health.

“Proper dosage and administration are crucial for the safe and effective use of Equisul-SDT® in horses.”

89

Safety Profile of Equisul-SDT® in Horses

Horse owners and vets want safe treatments for their animals. Equisul-SDT® has been through intense safety tests. These tests were meant to check how safe it is for horses10.

In one study, horses got up to five times the normal dose of Equisul-SDT®. They took this dose twice a day for a month. Some horses had looser stool, but it got better on its own. Equisul-SDT® meets the strict standards set by the FDA, proving it’s safe10.

Doctors and owners can trust Equisul-SDT® because of these thorough tests. The drug was carefully checked to make sure it’s safe and not harmful. It’s a reliable choice for those looking for safe meds for horses10.

Controlled Safety Studies

Equisul-SDT® went through detailed tests on how it affects horses. The tests used doses up to five times higher than usual for a month10. The medicine was found to be safe, even though some horses had looser stool10.

By meeting the high FDA standards, Equisul-SDT® is proven safe for horses. This gives confidence to vets and owners. They know it’s a good and safe choice for treating horses10.

Thanks to these comprehensive tests, Equisul-SDT® stands out as a trusted drug. It has been tested well, following all the rules. This makes it a top option for those caring for horses10.

Potential Side Effects and Precautions

Using Equisul-SDT® (sulfadiazine/trimethoprim) on horses needs caution. Being aware of side effects is crucial. Loose stool was the most common issue, seen in 38% of treated horses. But, if diarrhea becomes acute or stool keeps changing, watch closely. Stop giving more if these problems show up.

Adverse Reactions and Monitoring

Equisul-SDT® can cause issues with blood cell activity and clotting. It’s important to check the horse’s clotting times and blood cell counts often. This ensures the horses’ well-being. When it comes to pregnant mares, Equisul-SDT® might impact their foals due to how it affects folate. Breeding stallions might see effects on agility and sexual function after treatment.

Although rare, horses can face serious issues like anaphylaxis. It’s key to closely watch how the horse responds to the medicine. Any strange symptoms should be reported to the vet right away11.

Equisul-SDT Side Effects

Veterinarians should note that Equisul-SDT® in paste forms for once-a-day use might need twice-daily dosing. This is to reach the best plasma levels for treating. Too high doses of this medicine don’t offer more benefits. Instead, they might cause more loose stool11.

Yet, a study found that high doses of a trimethoprim/sulfadiazine oral suspension didn’t lead to severe diarrhea. Only mild effects were seen, which got better on their own. No severe cases needed treatment11512.

Contraindications and Warnings

If a horse is allergic to sulfadiazine, sulfonamides, or trimethoprim, avoid Equisul-SDT®13. When a horse’s liver is not working well, be careful using sulfonamides on them9. We don’t know how safe Equisul-SDT® is for breeding, pregnant, or nursing horses139.

In humans, sulfonamides can cause severe liver damage. So, use them with care on horses with liver issues9. After taking certain sulfonamides, various animals have shown nerve problems. This might make horses act differently and walk wrong9.

For pregnant or nursing mares, only use potentiated sulfonamides if it’s really necessary. That’s because they might harm the developing baby, causing birth defects9. Sometimes, sulfonamides can lead to allergic reactions. Look out for skin rash, breathing troubles, or swollen faces9.

Stressed horses might get very sick, possibly dying, if they take sulfadiazine and trimethoprim together9. High doses for a long time can also stop their red blood cells from forming correctly9.

If you know you’re sensitive to sulfonamides or trimethoprim, stay away from them. They can cause allergies touching your skin, eyes, mouth, or clothes9.

“Prescribing antibacterial drugs in the absence of proven or strongly suspected bacterial infection may increase the risk of development of drug-resistant animal pathogens.”9

Equisul-SDT® (sulfadiazine/trimethoprim) for Horses: Pharmacology and Pharmacokinetics

Equisul-SDT® works best when its drug levels stay high enough to kill off the germs. A study gave horses a 24 mg/kg dose. It kept their drug levels above what’s needed to kill the germs, known as the MIC, 98% of the time. This shows the medicine does its job well1.

This medicine has 400 mg of sulfadiazine and 67 mg of trimethoprim in every milliliter. It’s made to treat breathing infections in horses caused by certain bacteria3.

In another test, 59% of horses with these infections got completely better after using Equisul-SDT®. Their symptoms were all gone within a week of finishing the medicine1. We also learned how the body deals with these drugs over time, which helps doctors know how to use them in the best way1.

Equisul-SDT® is easier for the body to absorb compared to another similar product. It gets to higher levels in the blood faster. After horses ate, this medicine reached its highest mark in their blood between 30 minutes and 12 hours. The time it takes for half the drug to leave the blood is about 8 hours for one part and 7 hours for the other part3.

When horses kept taking this medicine at 24 mg/kg, twice a day for a week, certain drug levels reached their highest. These levels were enough to fight the bacteria causing the infections. We also measured how long it took for the highest drug level to happen during this time3.

For the last dose of the week, the levels of the drugs stayed high. This tells us the medicine can keep working well even towards the end of the treatment3.

The way Equisul-SDT® works in the body makes it a good choice for treating breathing infections in horses. This is because it fights the bacteria effectively and stays in the body for the right amount of time.

Comparison with Other Equine Antibiotics

Equisul-SDT® is a type of potentiated sulfonamide. Its power comes from keeping drug levels high enough to fight the bug efficiently14. In medical tests, Equisul-SDT® was better than other treatments for lung infections in horses15. Even though it might cost more, it’s worth it. It’s approved by the FDA and has very few side effects.

Efficacy, Cost, and Side Effect Considerations

Compared to regular SMZ-TMP, Equisul-SDT® stands out. The time it stays active in the body is longer. This means it can work better. Also, it takes fewer doses to get to beneficial levels14. With Equisul-SDT®, horses need to take it only twice a day. For the generic kind, it’s every few hours14.

Equisul-SDT® showed good results in real world tests too. It helped over half the sick horses feel better within a week. And about two-thirds of these horses had no more bacteria in their body afterwards15. Plus, it gets into the body 20% more than similar products, meaning it works better15.

Sure, Equisul-SDT® might cost more at first. But its benefits, like being easy to use and safe, are worth it. In difficult tests, when horses took way more than they should, they were fine. Most didn’t even have tummy troubles15.

FeatureEquisul-SDTGeneric SMZ Tablets
Half-life (t ½) of sulfa fraction7.8 hours3.53 hours
Half-life (t ½) of trimethoprim fraction3.0 hours1.9-2.5 hours
Doses to reach steady state over MIC₉₀25
Ideal dosing interval12 hours (2 times daily)6-8 hours (3-4 times/day)
Recommended dose24 mg/kg30 mg/kg
Material as delivered to achieve dose27 ml/1000 pounds14.2-960 mg tablets per 1000 pounds
Accuracy of dosingYesNo – Variable
Convenient for clientYesNo (Significant work required)
FDA approved for horsesYesNo (Human product)
FDA safety studiesYesNo
FDA efficacy studiesYesNo

Given its special advantages, positive track record, and clear safety, Equisul-SDT® is a smart pick for vets and horse owners over generic options1415.

“Awareness regarding antibiotic resistance in equine reproductive medicine is increasing due to the rising threat of antimicrobial resistance.”16

For issues in horse reproduction, Equisul-SDT® is especially helpful. It keeps high enough levels in the womb to beat common infections. These include bugs like Streptococcus equi subsp. zooepidemicus and Escherichia coli161415.

Veterinary Perspectives on Equisul-SDT®

When horses get respiratory infections, vets often choose Equisul-SDT®. It’s an FDA-approved mix of sulfadiazine and trimethoprim17. This solution has become a favorite among horse doctors for being effective and easy to use17.

Veterinarian Scott Hay from Florida says, “We use Equisul-SDT® when antibiotics and sulfa therapy are needed. It’s easy for owners to give. This makes sure the horses get their full treatment, which is very important for getting better.”17

Its FDA approval means vets can trust that it meets high health and safety standards17. Dr. Hay adds, “Knowing it’s FDA-approved is a big deal for us.”17

This medicine is easy to give because animals like the taste, and it stays good for a long time17. Equisul-SDT® eliminates the need for frequent replacement, saving both time and worry for those taking care of the horses17.

In studies, Equisul-SDT® worked well against common horse infections. It’s a top choice for vets dealing with breathing issues in horses18. The trust vets have in it, along with its success rate, makes Equisul-SDT® a valuable medicine for horse health management.

“We use EQUISUL-SDT® for infections needing antibiotics and sulfas, thanks to its ease and effectiveness. Owners giving it without trouble is a big plus. Making sure the horse gets the full dose is key to recovery! Also, being FDA-approved is a big plus.”

– Dr. Scott Hay, DVM, Ft. Lauderdale, FL17

Equisul-SDT® Product Information

Equisul-SDT® offers a versatile and efficient solution for treating horses. It comes in various package sizes to meet the needs of owners and vets2.

Availability and Packaging

In the market, you’ll find Equisul-SDT® in four bottle sizes. This variety helps cover all herd sizes and the treatment that’s needed. Sizes include 135 mL, 280 mL, 560 mL, and 900 mL, each with a unique reorder code: 28000 (135 mL), 28003 (280 mL), 28002 (560 mL), and 28001 (900 mL)1.

With a broad range of product availability and packaging sizes, finding the right amount is easy. This is important for both individual horse owners and those with many horses1.

This product stands out as the sole FDA-approved liquid antibiotic for horses. It has been proven safe and effective. This is in contrast to using human medication like sulfamethoxazole/trimethoprim tablets without medical advice2.

Bottle SizeReorder Number
135 mL28000
280 mL28003
560 mL28002
900 mL28001

By offering a variety of packaging sizes, Equisul-SDT® helps fit any specific treatment or herd size. This means you can manage your horse’s care effectively and affordably12.

Conclusion

Equisul-SDT® is approved by the FDA19 to treat lower respiratory infections in horses. It targets infections caused by Streptococcus equi subsp. zooepidemicus. This equine medicine has many advantages, such as being easy for horses to absorb20. It has shown success in research19 and comes in a liquid form to dose horses quickly. Also, it doesn’t cause many side effects. Therefore, veterinarians and horse owners can trust Equisul-SDT® as a top choice for treating such infections.

The research on Equisul-SDT® shows it’s really effective. Its main parts, sulfadiazine and trimethoprim, reach strong levels in the blood and endometrium. These levels are more than enough to fight off the bacteria causing problems like equine endometritis. In fact, this medicine is good for more than just respiratory infections. It’s also a great choice for treating bacterial endometritis in horses2021.

In short, Equisul-SDT® is an important tool for horse health. It stands out because of its easy-to-use liquid form, strong results in trials, and safety assurance. This means it’s a trusted option for those caring for horses, looking for a powerful antimicrobial treatment.

FAQ

What is Equisul-SDT® (sulfadiazine/trimethoprim)?

Equisul-SDT® is an FDA-approved oral antibiotic for horse breathing infections. It helps with infections caused by specific strains. These strains are known as Streptococcus equi subsp. zooepidemicus. It combines two powerful substances, sulfadiazine and trimethoprim, to work against bacteria.

How does Equisul-SDT® work?

Equisul-SDT® fights bacteria in the horse’s body. It has two active parts, sulfadiazine and trimethoprim. These work together to stop the bacteria from making nucleic acid, which they need to grow. So, it doesn’t just hold the bacteria back; it actually kills them. This makes Equisul-SDT® a strong treatment against many kinds of bacteria in horses.

What are the indications for Equisul-SDT® in horses?

Equisul-SDT® is for treating lower respiratory infections in horses. These infections are caused by certain bacteria strains, including Streptococcus equi subsp. zooepidemicus.

What are the benefits of Equisul-SDT® for equine treatment?

Equisul-SDT® has a few major benefits. It’s known to work well from recent tests. Also, since it’s a liquid, it’s easy to give. Most horses doing better with it have had very few, if any, side effects.

How is Equisul-SDT® administered to horses?

Horses should take Equisul-SDT® by mouth. The dose is 24 mg for every kilogram the horse weighs. Give this twice each day for 10 days. Or you can use 2.7 mL for every 45.4 kg, also twice daily.

What are the safety considerations for Equisul-SDT® in horses?

Tests were done with up to five times the regular dose for a month. Some horses did have loose stool more often. But this went away on its own without needing treatment.

What are the potential side effects and precautions with Equisul-SDT®?

Loose stool happened in 38% of horses taking Equisul-SDT®. It can also lower certain blood cells. Veterinarians should check horse blood during treatment.

When is Equisul-SDT® contraindicated or what warnings should be considered?

Horses with allergies to sulfadiazine, sulfonamides, or trimethoprim should not use Equisul-SDT®. It’s also not for horses raised for human food. Sulfonamides can cause severe allergic reactions in some people.

How does the pharmacology and pharmacokinetics of Equisul-SDT® support its effectiveness?

The way Equisul-SDT® works well is by keeping its concentration high enough in the horse’s body. A study showed that a common dose kept killing bacteria effectively for almost the whole day.

How does Equisul-SDT® compare to other equine antibiotics?

While Equisul-SDT® might cost more than other medicines, it’s highly effective, FDA approved, and causes less harm. This makes it a top choice for vets and horse owners.

What do veterinarians say about Equisul-SDT®?

“The Equisul-SDT® (sulfadiazine/trimethoprim) is our go-to when we need antibiotics. It’s easy for trainers to use, so horses get it all. We also trust it because it’s FDA-approved.” – Scott Hay, DVM, Ft. Lauderdale, FL

Where can I find Equisul-SDT® and what sizes are available?

Equisul-SDT® comes in 135 mL, 280 mL, 560 mL, and 900 mL bottles. You can order it using the following codes: 28000 (135 mL), 28003 (280 mL), 28002 (560 mL), and 28001 (900 mL).
  1. PDF
  2. Equisul-SDT® (sulfadiazine/trimethoprim) for Horses
  3. Equisul-SDT – Aurora Pharmaceutical, Inc.: Veterinary Package Insert
  4. Equisul-SDT® (sulfadiazine/trimethoprim) for Horses
  5. Systemic Antibiotics- What Horse People Should Know
  6. SMZ-TMP Tablet | Dr (4) Pets
  7. PDF
  8. Equisul-SDT Oral Suspension 400 mg/mL (280 mL)
  9. Equisul-SDT – 400mg 900 mL
  10. Pet Medications – Advice from Vets | [site:name]
  11. A Controlled Safety Study of Elevated Dosages of Trimethoprim Plus Sulfadiazine in Mature Horses
  12. Cotrimazine – an overview | ScienceDirect Topics
  13. EQUISUL-SDT® (Sulfadiazine/Trimethoprim)Oral Suspension
  14. PDF
  15. PDF
  16. Concentrations of sulfadiazine and trimethoprim in blood and endometrium of mares following administration of an oral suspension | Request PDF
  17. US6211185B1 – Concentrate comprising a sulfonamide in solution, a 2,4-diaminopyrimidine in stable suspension within said solution, and a suspending agent
  18. Ditrim drug & pharmaceuticals. Ditrim available forms, doses, prices
  19. PDF
  20. PDF
  21. Concentrations of Sulfadiazine and Trimethoprim in Blood and Endometrium of Mares After Administration of an Oral Suspension

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